IndividualActive
Anila Poravanthattil, DDS
NPI 1982275749 · Pediatric Dentistry · Aurora, CO
Provider details
- NPI number
- 1982275749
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 00204760 (CO)
Specialties & taxonomies
Dental Providers
Practice location
22986 E Smoky Hill Rd # 80016
Aurora, CO 80016-1382
Phone: (303) 690-1690
Approximate (ZIP-level) locationGet directions
Mailing address
7575 E 29th Pl Apt 1119
Denver, CO 80238-4035
Registry dates
- Enumerated
- 2021-07-02
- Last updated
- 2021-07-02
- Certified
- 2021-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.